Online cognitive behavioral therapy and problem-solving therapy for depressive symptoms: Exploring mechanisms of change

Journal of Behavior Therapy and Experimental Psychiatry
Lisanne WarmerdamPim Cuijpers

Abstract

The purpose of this study was to evaluate treatment specificity and potential mediators of two online therapies for depressive symptoms. We conducted a randomized controlled trial in which 263 participants were randomized to online cognitive behavioral therapy (CBT), online problem-solving therapy (PST) or a waiting list control group. Both treatments were more effective than the control group in reducing dysfunctional attitudes, worry, negative problem orientation and enhancing feelings of control. No differences between the treatments were found on each of the potential mediators. Furthermore, results suggest that dysfunctional attitudes, worrying, a negative problem orientation and perceived control all played a mediating role in CBT as well as in PST. Our findings suggest that regardless of the theoretical background to the therapy, the psychological processes necessary for symptom reduction seem to be comparable.

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Citations

Oct 15, 2013·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Linda GarandMary Amanda Dew
Aug 1, 2015·International Journal of Geriatric Psychiatry·Madeleine S GoodkindRuth M O'Hara
May 23, 2015·Frontiers in Psychology·Jason D Runyan, Ellen G Steinke
Apr 4, 2015·European Neuropsychopharmacology : the Journal of the European College of Neuropsychopharmacology·Mark J MillanSven Ove Ögren
Jan 27, 2016·Journal of Adolescent and Young Adult Oncology·Karen M FascianoKelly Trevino
Sep 30, 2016·Journal of Clinical Psychology·Cristina MogoașeAurora Szentagotai
May 4, 2017·Clinical Psychology & Psychotherapy·Sundeep Kaur SandhuGillian Hardy
Oct 13, 2018·Cognitive Behaviour Therapy·John R SeeleySteve Allan
Nov 7, 2019·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Christine HofheinzJohannes Michalak
Nov 7, 2019·BJPsych Bulletin·Annabel McDonaldHugo D Critchley
Jul 25, 2020·Journal of Medical Internet Research·Joanneke WeerdmeesterIsabela Granic
Jun 28, 2015·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Lynn V DoeringMichael R Irwin
May 11, 2019·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Franziska MiegelLena Jelinek

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